Internet-based cognitive behavior therapy for patients with heart failure and depressive symptoms: A proof of concept study
Journal article
Lundgren, Johan, Andersson, Gerhard, Dahlstrom, Orjan, Jaarsma, Tiny, Kohler, Anita Karner and Johansson, Peter. (2015). Internet-based cognitive behavior therapy for patients with heart failure and depressive symptoms: A proof of concept study. Patient Education and Counseling. 98(8), pp. 935 - 942. https://doi.org/10.1016/j.pec.2015.04.013
Authors | Lundgren, Johan, Andersson, Gerhard, Dahlstrom, Orjan, Jaarsma, Tiny, Kohler, Anita Karner and Johansson, Peter |
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Abstract | Objective: The aim was (1) to describe the development of a guided internet-based CBT (ICBT) program adapted to patients with heart failure (HF) and (2) to evaluate the feasibility of the ICBT program in regard to depressive symptoms, the time used by health care providers to give feedback, and participants’ perceptions of the ICBT program. Method: A multi-professional team developed the program and seven HF patients with depressive symptoms were recruited to the study. The Patient Health Questionnaire-9 (PHQ-9) and the Montgomery Åsberg Depression Rating-Self-rating scale (MADRS-S) were used to measure depression, and patients were interviewed about their perceptions of the program. Results: Based on research in HF and CBT, a nine-week program was developed. The median depression score decreased from baseline to the end of the study (PHQ-9: 11–8.5; MADRS-S: 25.5–16.5) and none of the depression scores worsened. Feedback from health care providers required approximately 3 h per patient. Facilitating perceptions (e.g. freedom of time) and demanding perceptions (e.g. part of the program demanded a lot of work) were described by the patients. Conclusion: The program appears feasible and time-efficient. However, the program needs to be evaluated in a larger randomized study. |
Keywords | internet; cognitive behavior therapy; heart failure; depression |
Year | 2015 |
Journal | Patient Education and Counseling |
Journal citation | 98 (8), pp. 935 - 942 |
Publisher | Elsevier Ireland Ltd. |
ISSN | 0738-3991 |
Digital Object Identifier (DOI) | https://doi.org/10.1016/j.pec.2015.04.013 |
Page range | 935 - 942 |
Research Group | Mary MacKillop Institute for Health Research |
Publisher's version | File Access Level Controlled |
Place of publication | Ireland |
Editors | A. Finset |
https://acuresearchbank.acu.edu.au/item/86054/internet-based-cognitive-behavior-therapy-for-patients-with-heart-failure-and-depressive-symptoms-a-proof-of-concept-study
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